Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $54.62 / $146.22	Professional		$54.62	$54.62	$146.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Professional		$108.00	$108.00	$108.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $89.20 / $104.94	Professional		$70.70	$89.20	$104.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $103.68 / $120.96	Professional		$95.04	$103.68	$120.96
United Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $116.51	Professional		$108.00	$108.00	$116.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $103.61 / $152.44	Professional		$62.18	$103.61	$152.44